P Praxis·MD
● Active Type 1 · Individual

DR. Mitch Driscoll, DMD

Dentist·Aberdeen, ID· NPI 1790190692 · Enumerated 2014 · 11 years on NPI
Driscoll is 1 of 1 dentist providers in Aberdeen and 1 of 591 in Idaho.
NPI age
11 years
Enumerated 2014-06-30
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-01-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
11 years
↓ 5 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-06Enumerated in NPPES
2014 2026

Where they practice

Practice location
81 W Washington Ave
Aberdeen, ID 832104801
📞 2083974198fax 2083975606
Mailing address
81 W Washington Ave, Po Box 837
Aberdeen, ID 832104801
📞 2083974198fax 2083975606

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D4644 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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